Client Application Form
The work I guide you through is not easy, and requires extreme commitment to your change. Therefore, I am very selective in whom I work with. Before I decide if you are a good fit to work together, below are some questions for you to fill out. Your answers will tell me whether or not you are a fit for this container and how committed you are. If you are a good fit, I will reach out to you to set up a consultation call. If you are then invited to work with me, you will be expected to make payment on the call. To get to heaven, you must be willing to go through hell. Can't wait to speak to you. B x
Name
*
First Name
Last Name
Email
*
example@example.com
What is your top priority in your business right now?
*
Why is this your top priority?
*
What else have you tried in order to achieve this priority and why haven't they worked?
*
If we were to work together, where would you like to see yourself at the end of our time together?
*
How committed are you to making this happen right now?
*
Why am I the ONLY coach for you right now?
*
How much are you currently making in your business per month?
*
$0 - $1500
$1500 - $5000
$5000 - $10,000
$10,000+
How much are you able and willing to invest right now?
$1000 - $3000
$3000 - $5000
$5000 - $10,000
$10,000+
If invited to work with me, you will be expected to make the full payment on the call. Are you able and willing to make this payment on the call?
*
Yes
No
Submit
Should be Empty: